National Provider Identifier [NPI]: |
1174567697 |
Last Name Of The Provider |
SCHIERING |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1673 MASON AVE |
Street Address 2 Of The Provider |
SUITE# 305 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321175515 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
199 |
Number Of Services |
30073 |
Number Of Medicare Beneficiaries |
4423 |
Total Submitted Charge Amount |
2238782.8 |
Total Medicare Allowed Amount |
673621.1 |
Total Medicare Payment Amount |
541745.52 |
Total Medicare Standardized Payment Amount |
558100.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
23075 |
Number Of Medicare Beneficiaries With Drug Services |
359 |
Total Drug Submitted ChargeAmount |
32950.8 |
Total Drug Medicare AllowedAmount |
6587.74 |
Total Drug Medicare PaymentAmount |
5116.35 |
Total Drug Medicare Standardized Payment Amount |
5116.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
189 |
Number Of Medical Services |
6998 |
Number Of Medicare Beneficiaries With Medical Services |
4422 |
Total Medical Submitted Charge Amount |
2205832 |
Total Medical Medicare Allowed Amount |
667033.36 |
Total Medical Medicare Payment Amount |
536629.17 |
Total Medical Medicare Standardized Payment Amount |
552983.72 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
580 |
Number Of Beneficiaries Age 65 to 74 |
2116 |
Number Of Beneficiaries Age 75 to 84 |
1241 |
Number Of Beneficiaries Age Greater 84 |
486 |
Number Of Female Beneficiaries |
3144 |
Number Of Male Beneficiaries |
1279 |
Number Of Non Hispanic White Beneficiaries |
3879 |
Number Of Black or African American Beneficiaries |
329 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
137 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
3763 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
660 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1863 |